"WISP" Hooded Towel Request Form

Wrapped in Strength Project (WISP) hooded towel project gives homemade fun hooded towels to kids actively in treatment fighting cancer. Our purpose is to put smiles on children's faces, wrapping them in strength and giving encouragement to be brave. All in memory of Derick the Defeater, the most amazing, strong, kind, fun and flirty 8 year old boy ever.

Only the child's parent or guardian may request a hooded towel.

Please do not request a WIS hooded towel if you have previously received one through Gamerosity or from your hospital or other.

Child's First Name:

Child's Last Name:

Child's Age
*

Child's Diagnosis/Relapse & Hospital Name City and State
*

Your Full Name and Relationship to the Child:
*

Only child's parent or guardian can request a towel. If you are neither of these, please send me a message in the comments section at the bottom of the form.

*By submitting this form I agree to share a photo of my child with their hooded towel and also give WISP permission to post the photo on their website www.WrappedInStrengthProject.org, Facebook: "Derick the Defeater -Wrapped in Strength Project" and www.ACCO.org.

We would love to share your photo with the WISP donors, so they know what a difference their donations make in the life of a child fighting cancer.